【摘要】 目的 研究美国华人神经衰弱的流行病学、症状群、心理社会因素以及与其它精神疾病诊断的重叠性。方法 采用多阶段分层抽样的流行病学调查方法,对美国洛杉矶某华人社区符合ICD-10诊断标准神经衰弱的患病率、临床特征以及与其它精神障碍的疾病分类学关系进行探讨。结果 神经衰弱的总患病率为6.4％,其中“单纯”神经衰弱的患病率为3.61％;与正常组比较,神经衰弱患者的SCL-90-R总分和因子分显著增高,经历了更多应激性生活事件,体验到较少的社会支持;与抑郁和焦虑症比较,单纯神经衰弱患者陈诉了同样多的躯体症状,而心理症状的较少。结论 提示神经衰弱是一种特殊的临床类型,仅部分与其它诊断重叠。至于诊断的效度则需进行更为广泛深入研究。更多还原

【Abstract】 Objective To explore the current epidemiological status of neurasthenia in the Chinese residents at Los Angeles of the United States, such as the prevalence, manifestations, psychosocial factors, and percentage of co- morbity.Methods Using ICD-10 diagnostic criteria as a tool, 1747 Chinese residents were inteviewed and diagnosed.Results Of the 1747 resident. 112 cases were diagnosed as neurasthenia, and the prevalence was 6.4% The residents with neurasthenia have experienced more life events and less social supports.Conclusions Neurasthenia is a special category in mental illness which has to be studied further more as to having a definite conclusion.更多还原